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urothelial cancer (UC) - bladder cancer (BC), immune chekpoint inhibitors , meta-analysis of study results

Outcome Relative effect 95%CI LoD Trt. better when I2 k (RCT/OBS) Bayesian probability Overall ROB Publication bias Degree of certainty Endpoint importance Published MA

efficacy endpoints 00

deaths (OS) 0.86 [0.80, 0.92]< 127%10 studies (10/-)100.0 %some concernlow moderatecrucial-
deaths (OS) (extension) 0.77 [0.70, 0.85]< 10%3 studies (3/-)100.0 %some concernnot evaluable moderateimportant-
PFS (extension) 0.72 [0.41, 1.26]< 195%2 studies (2/-)87.4 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.90 [0.74, 1.09]< 184%8 studies (8/-)85.9 %some concernnot evaluable moderateimportant-
RFS/DFS 0.72 [0.59, 0.88]< 10%1 study (1/-)99.9 %NAnot evaluable important-
CRR 1.96 [1.21, 3.17]> 10%1 study (1/-)99.7 %NAnot evaluable non important-
DCR 1.85 [1.35, 2.54]> 10%1 study (1/-)100.0 %NAnot evaluable non important-
DMFS 0.75 [0.59, 0.95]< 10%1 study (1/-)99.2 %NAnot evaluable non important-
DOR 0.49 [0.24, 1.00]< 188%6 studies (6/-)97.5 %some concernnot evaluable moderatenon important-
events or deaths (EFS) 0.80 [0.63, 1.01]< 157%2 studies (2/-)96.9 %some concernnot evaluable moderatenon important-
objective responses (ORR) 0.92 [0.59, 1.43]> 193%9 studies (9/-)35.5 %some concernnot evaluable moderatenon important-
objective responses (ORR) (extension) 2.16 [1.34, 3.48]> 10%1 study (1/-)99.9 %NAnot evaluable non important-

safety endpoints 00

AE (any grade) 0.85 [0.13, 5.43]< 194%5 studies (5/-)56.7 %some concernnot evaluable moderatenon important-
AE (grade 3-4) 0.64 [0.31, 1.33]< 197%7 studies (7/-)88.4 %some concernnot evaluable moderatenon important-
AE (grade 3-5) 0.76 [0.19, 3.00]< 196%2 studies (2/-)65.4 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 1.80 [1.18, 2.75]< 150%7 studies (7/-)0.3 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 0.82 [0.46, 1.46]< 193%9 studies (9/-)74.5 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (grade 3-4) 0.85 [0.44, 1.65]< 10%1 study (1/-)68.1 %NAnot evaluable non important-
SAE (any grade) 1.12 [0.89, 1.41]< 172%6 studies (6/-)16.7 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.81 [0.51, 1.29]< 190%8 studies (8/-)81.0 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.57 [0.18, 1.81]< 198%9 studies (9/-)83.1 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.37 [0.17, 0.81]< 198%10 studies (10/-)99.3 %some concernlow moderatenon important-
TRAE leading to death (grade 5) 0.75 [0.39, 1.44]< 138%9 studies (9/-)80.7 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (any grade) 0.73 [0.30, 1.79]< 189%5 studies (5/-)75.6 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 2.15 [0.19, 24.47]< 10%2 studies (2/-)27.1 %some concernnot evaluable moderatenon important-
Acute kidney injury TRAE (grade 3-4) 2.04 [0.41, 10.20]< 10%3 studies (3/-)19.5 %some concernnot evaluable moderatenon important-
Adrenal insufficiency TRAE (grade 3-4) 1.89 [0.49, 7.28]< 10%7 studies (7/-)17.9 %some concernserious moderatenon important-
Alopecia TRAE (grade 3-4) 0.67 [0.09, 4.84]< 10%3 studies (3/-)65.4 %some concernnot evaluable moderatenon important-
Anaemia TRAE (grade 3-4) 0.13 [0.05, 0.39]< 193%8 studies (8/-)100.0 %some concernserious moderatenon important-
Arthralgia TRAE (grade 3-4) 2.54 [0.36, 17.86]< 10%3 studies (3/-)17.6 %some concernnot evaluable moderatenon important-
Arthritis TRAE (grade 3-4) 1.24 [0.14, 10.65]< 10%3 studies (3/-)42.2 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.62 [0.35, 1.10]< 140%10 studies (10/-)94.8 %some concernlow moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 0.74 [0.10, 5.30]< 10%3 studies (3/-)61.5 %some concernnot evaluable moderatenon important-
Chills TRAE (grade 3-4) 1.00 [0.02, 50.69]< 10%1 study (1/-)49.9 %NAnot evaluable non important-
Colitis TRAE (grade 3-4) 2.81 [1.08, 7.34]< 10%7 studies (7/-)1.8 %some concernnot evaluable moderatenon important-
Constipation TRAE (grade 3-4) 0.29 [0.07, 1.23]< 135%6 studies (6/-)95.3 %some concernnot evaluable moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.77 [0.37, 1.60]< 10%8 studies (8/-)75.7 %some concernnot evaluable moderatenon important-
Dermatitis acneiform TRAE (grade 3-4) 0.99 [0.02, 50.11]< 10%1 study (1/-)50.2 %NAnot evaluable non important-
Diabetes TRAE (grade 3-4) 1.47 [0.33, 6.48]< 10%6 studies (6/-)30.5 %some concernserious moderatenon important-
Diarrhoea TRAE (grade 3-4) 1.20 [0.68, 2.12]< 10%7 studies (7/-)26.7 %some concernnot evaluable moderatenon important-
Dry skin TRAE (grade 3-4) 1.00 [0.02, 50.69]< 10%1 study (1/-)49.9 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 2.15 [0.19, 24.47]< 10%2 studies (2/-)27.1 %some concernnot evaluable moderatenon important-
Eczema TRAE (grade 3-4) 0.99 [0.02, 50.11]< 10%1 study (1/-)50.2 %NAnot evaluable non important-
Endocrine disorders TRAE (grade 3-4) 1.99 [0.07, 59.38]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Erythema TRAE (grade 3-4) 0.99 [0.02, 50.11]< 10%1 study (1/-)50.2 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 0.60 [0.36, 1.00]< 125%10 studies (10/-)97.5 %some concernlow moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 0.10 [0.03, 0.39]< 10%3 studies (3/-)100.0 %some concernnot evaluable moderatenon important-
Gastritis TRAE (grade 3-4) 1.36 [0.10, 17.75]< 10%2 studies (2/-)40.8 %some concernnot evaluable moderatenon important-
Gastrointestinal disorders TRAE (grade 3-4) 2.00 [0.50, 8.06]< 10%1 study (1/-)16.5 %NAnot evaluable non important-
Guillain-Barré syndrome TRAE (grade 3-4) 1.57 [0.20, 12.15]< 10%3 studies (3/-)33.5 %some concernnot evaluable moderatenon important-
Hepatitis TRAE (grade 3-4) 2.72 [0.53, 14.06]< 10%4 studies (4/-)11.7 %some concernnot evaluable moderatenon important-
Hypersensitivity TRAE (grade 3-4) 0.46 [0.04, 5.04]< 10%2 studies (2/-)73.7 %some concernnot evaluable moderatenon important-
Hyperthyroidism TRAE (grade 3-4) 1.14 [0.24, 5.40]< 10%6 studies (6/-)43.7 %some concernserious moderatenon important-
Hypophysitis TRAE (grade 3-4) 3.36 [0.66, 17.24]< 10%4 studies (4/-)7.4 %some concernnot evaluable moderatenon important-
Hypothyroidism TRAE (grade 3-4) 2.47 [0.55, 11.04]< 10%5 studies (5/-)11.9 %some concernserious moderatenon important-
Increase AST TRAE (grade 3-4) 1.43 [0.43, 4.76]< 10%3 studies (3/-)28.1 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 2.98 [0.72, 12.39]< 10%3 studies (3/-)6.7 %some concernnot evaluable moderatenon important-
Increased lipase level TRAE (grade 3-4) 11.75 [3.21, 43.03]< 10%3 studies (3/-)0.0 %some concernnot evaluable moderatenon important-
Infusion-related reactions TRAE (grade 3-4) 1.84 [0.30, 11.19]< 10%4 studies (4/-)25.6 %some concernnot evaluable moderatenon important-
Leucopenia TRAE (grade 3-4) 0.07 [0.01, 0.76]< 181%4 studies (4/-)98.5 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 3.98 [0.18, 88.64]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Myocarditis TRAE (grade 3-4) 1.84 [0.31, 10.77]< 10%4 studies (4/-)25.0 %some concernnot evaluable moderatenon important-
Myositis TRAE (grade 3-4) 1.33 [0.31, 5.70]< 10%6 studies (6/-)35.1 %some concernnot evaluable moderatenon important-
Nausea TRAE (grade 3-4) 0.47 [0.23, 0.97]< 113%9 studies (9/-)98.0 %some concernnot evaluable moderatenon important-
Nephritis TRAE (grade 3-4) 2.30 [0.65, 8.21]< 10%7 studies (7/-)10.0 %some concernserious moderatenon important-
Neutropenia TRAE (grade 3-4) 0.06 [0.01, 0.24]< 191%8 studies (8/-)100.0 %some concernserious moderatenon important-
Pancreatitis TRAE (grade 3-4) 2.88 [0.66, 12.51]< 10%5 studies (5/-)8.0 %some concernserious moderatenon important-
Pancytopenia TRAE (grade 3-4) 0.11 [0.01, 0.91]< 10%2 studies (2/-)97.9 %some concernnot evaluable moderatenon important-
Peripheral neuropathy TRAE (grade 3-4) 0.15 [0.03, 0.83]< 10%2 studies (2/-)98.5 %some concernnot evaluable moderatenon important-
Pneumonitis TRAE (grade 3-4) 3.48 [1.20, 10.09]< 10%7 studies (7/-)1.1 %some concernnot evaluable moderatenon important-
Pruritic rash TRAE (grade 3-4) 1.24 [0.14, 10.61]< 10%3 studies (3/-)42.4 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 1.80 [0.57, 5.67]< 10%9 studies (9/-)15.9 %some concernserious moderatenon important-
Pyrexia TRAE (grade 3-4) 0.66 [0.14, 3.06]< 10%3 studies (3/-)70.1 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 2.97 [1.02, 8.67]< 10%8 studies (8/-)2.3 %some concernnot evaluable moderatenon important-
Renal and urinary disorders TRAE (grade 3-4) 8.01 [0.42, 152.12]< 10%1 study (1/-)8.5 %NAnot evaluable non important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 5.99 [0.30, 120.06]< 10%1 study (1/-)12.4 %NAnot evaluable non important-
Sarcoidosis TRAE (grade 3-4) 1.05 [0.07, 16.88]< 10%2 studies (2/-)48.5 %some concernnot evaluable moderatenon important-
Sepsis TRAE (grade 3-4) 0.69 [0.08, 5.93]< 10%2 studies (2/-)63.1 %some concernnot evaluable moderatenon important-
Severe skin reaction TRAE (grade 3-4) 1.36 [0.32, 5.68]< 141%3 studies (3/-)33.8 %some concernnot evaluable moderatenon important-
Stevens-Johnson syndrome TRAE (grade 3-4) 1.36 [0.10, 17.71]< 10%2 studies (2/-)40.9 %some concernnot evaluable moderatenon important-
Stomatitis TRAE (grade 3-4) 1.36 [0.10, 17.75]< 10%2 studies (2/-)40.8 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.14 [0.04, 0.51]< 185%6 studies (6/-)99.8 %some concernserious moderatenon important-
Thyroiditis TRAE (grade 3-4) 1.26 [0.30, 5.18]< 10%7 studies (7/-)37.7 %some concernserious moderatenon important-
Urticaria TRAE (grade 3-4) 0.99 [0.02, 50.11]< 10%1 study (1/-)50.2 %NAnot evaluable non important-
Uveitis TRAE (grade 3-4) 1.00 [0.02, 50.69]< 10%1 study (1/-)49.9 %NAnot evaluable non important-
Vitiligo TRAE (grade 3-4) 1.00 [0.02, 50.69]< 10%1 study (1/-)49.9 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 0.40 [0.12, 1.27]< 145%4 studies (4/-)94.0 %some concernnot evaluable moderatenon important-

AE (grade 3-4) endpoints 00

hepatitis (Autoimmune) AE (grade 3-4) 2.01 [0.07, 60.08]< 10%1 study (1/-)34.6 %NAnot evaluable non important-
Abdominal pain AE (grade 3-4) 0.40 [0.10, 1.58]< 10%1 study (1/-)90.3 %NAnot evaluable non important-
Acute kidney injury AE (grade 3-4) 2.27 [0.58, 8.88]< 10%1 study (1/-)12.0 %NAnot evaluable non important-
Alopecia AE (grade 3-4) 0.16 [0.01, 3.17]< 10%1 study (1/-)88.3 %NAnot evaluable non important-
Anaemia AE (grade 3-4) 0.51 [0.14, 1.84]< 196%4 studies (4/-)84.7 %some concernnot evaluable moderatenon important-
Arthralgia AE (grade 3-4) 0.78 [0.03, 18.57]< 154%2 studies (2/-)56.1 %some concernnot evaluable moderatenon important-
Asthenia AE (grade 3-4) 0.48 [0.16, 1.41]< 175%4 studies (4/-)90.9 %some concernnot evaluable moderatenon important-
Back pain AE (grade 3-4) 0.65 [0.22, 1.92]< 10%2 studies (2/-)78.1 %some concernnot evaluable moderatenon important-
Blood and lymphatic system disorders AE (grade 3-4) 0.24 [0.15, 0.40]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Blood creatinine increased AE (grade 3-4) 1.92 [0.17, 21.35]< 10%1 study (1/-)29.8 %NAnot evaluable non important-

LoD: level of statistical demonstration: Statistically conclusive: statistically significant with a strict control of overall risk of type 1 error (statistically demonstrated), does not take into account the risk of bias; suggested: nominally statistically significant but without a strict control of overall risk of type 1 error; inconclusive: not nominally statistically significant; safety concerns;
Bayesian probability: Bayesian posterior probability of treatment effect (computed with a noninformative prior); ROB: risk of bias; k: number of studies; published MA: number of published meta-analysis on the same topic; degree of certainty adapted from GRADE. Trt. better when: indicates when the relative treatment effect shows that the studied treatment is better than control.